HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Submit a response Purchase Article View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Related articles in AJPH Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Bryant, J H Articles by Harnar, R M Search for Related Content PubMed PubMed Citation Articles by Bryant, J H Articles by Harnar, R M

A developing country's university oriented toward strengthening health systems: challenges and results.

J H Bryant, D R Marsh, K S Khan, R D'Souza, K Husein, A Aslam, A F Qureshi, V deWit and R M Harnar

Department of Community Health Sciences, Aga Khan University, Karachi, Pakistan.

OBJECTIVES. The Aga Khan University in Karachi has a mission to educate leaders and to contribute to the development of health systems for Pakistan amid challenges of scarcity and complexity. METHODS. Its key activities are (1) to design and test urban and rural health system prototypes, (2) to develop faculty in medical and nursing postgraduate community health sciences programs, and (3) to design and implement community-based undergraduate medical and nursing curricula. RESULTS. The university has developed equity-based, cost-effective primary health care prototypes in Karachi slums. With government counterparts it has tested village-, facility-, and district-level interventions in a poor rural district. Federal policymakers have taken models from each for widespread replication. The university is training 49 medical and 19 nursing faculty for postgraduate programs in community health sciences. Most faculty retain institutional leadership positions, including teaching community-based, problem-solving, community health sciences as 20% of the medical and nursing undergraduate curriculum. CONCLUSIONS. The mission and experience of the Aga Khan University in population-based health systems design and health sciences education can guide universities in both developing and developed countries.

Related articles in AJPH:

Learning from health care experiences in developing countries.

C E Taylor
AJPH 1993 83: 1531-1532. [PDF]  

Commentary: in search of innovative approaches to international health.

S L Kark, E Kark, and J H Abramson
AJPH 1993 83: 1533-1536. [Abstract]  

This article has been cited by other articles:

				H. Perry, W. Berggren, G. Berggren, D. Dowell, H. Menager, E. Bottex, J. R. Dortonne, F. Philippe, and M. Cayemittes Long-Term Reductions in Mortality Among Children Under Age 5 in Rural Haiti: Effects of a Comprehensive Health System in an Impoverished Setting Am J Public Health, February 1, 2007; 97(2): 240 - 246. [Abstract] [Full Text] [PDF]

				H. Perry, M. Cayemittes, F. Philippe, D. Dowell, J. R. Dortonne, H. Menager, E. Bottex, W. Berggren, and G. Berggren Reducing under-five mortality through Hopital Albert Schweitzer's integrated system in Haiti Health Policy Plan., May 1, 2006; 21(3): 217 - 230. [Abstract] [Full Text] [PDF]